Laparoscopic myomectomy in peri- and post-menopausal women is safe, efficacious and associated with long-term patient satisfaction

Laparoscopic myomectomy as a surgical treatment option in the peri– and post–menopause was characterized by a low rate of complications and relapses as well as a high degree of patient satisfaction in the analysis.

Methods

They evaluated the surgical outcome and patient satisfaction for a total of 451 patients: 85 peri– or post–menopausal women as group A and, for reference, 366 premenopausal women in group B, who received LM from 1998 to 2008 in the department.

They analyzed data from the medical records and applied a patient questionnaire in September 2009.

Results

The average number of fibroids removed and size of the leading fibroid were similar in both groups.

Time of surgery was different in group A, at 102.8min, compared to group B, 128.6min (p<0.01).

Rates of intra– (2.21% overall) and post–operative complications (6.22% overall) were comparable for both groups.

Post–surgical hospitalization was shorter in group B (4.4 days) compared to group A (5.0 days) (p<0.01).

Evaluation of the questionnaire showed high satisfaction with the results of LM in both subgroups with a significantly lower number of relapses in group A (3.5%) compared to group B (11.2%).